Customer Name (Required) Address (Required) City, State and Zip (Required) Best Contact Phone (Required) Email Address (Required) Big Lots Store Name (Required) Model Names and Quantity of Items Purchased (Required) Breakdown of Delivery/Haulaway Services CURBSIDE DELIVERY Items will be left at curb or outside closest exterior door. WHITE GLOVE DELIVERY Items will be delivered to the room-of-choice, packaging removed, feet installed, and trash removed from premises. WHITE GLOVE DELIVERY AND ASSEMBLY Standard White Glove Delivery with assembly of your item. WHITE GLOVE DELIVERY AND HAUL-A-WAY Standard White Glove Delivery with haul-a-way of your existing items. Delivery Service Requested (Required) CURBSIDE DELIVERYWHITE GLOVE DELIVERYWHITE GLOVE DELIVERY AND ASSEMBLYWHITE GLOVE DELIVERY AND HAUL-A-WAY Any Additional Info We Should Know? Important Notes, Please Read: *Orders to the 5 boroughs of NYC and Long Island are subject to additional costs. *Refusals/Does not fit--$35 charge on top of original cost. *Missed appointments--$35 charge on top of original cost. No refunds on orders cancelled within 48 hours of appointment. *Credit card payments accepted. Quiz: What is 7 - 2?